KEVIN V DIEP #2, DMD, PA

Company Details

Entity Name:	KEVIN V DIEP #2, DMD, PA
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	08 Oct 2020 (4 years ago)
Document Number:	P20000080983
FEI/EIN Number	853522094
Address:	301 WEST FEE AVENUE, SUITE 101, MELBOURNE, FL, 32901, US
Mail Address:	1761 SE PORT SAINT LUCIE BLVD, PORT SAINT LUCIE, FL, 34952, US
ZIP code:	32901
County:	Brevard
Place of Formation:	FLORIDA

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

KEVIN V. DIEP 2 DMD PA 401(K) PROFIT SHARING PLAN

2023

853522094

2024-05-09

KEVIN V DIEP #2, DMD, PA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	621210
Sponsor’s telephone number	3217233477
Plan sponsor’s address	301 WEST FEE AVENUE, SUITE 101, MELBOURNE, FL, 32901

KEVIN V. DIEP 2 DMD PA 401(K) PROFIT SHARING PLAN

2021

853522094

2022-07-25

KEVIN V DIEP #2, DMD, PA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	621210
Sponsor’s telephone number	3217233477
Plan sponsor’s address	301 WEST FEE AVENUE, SUITE 101, MELBOURNE, FL, 32901

Signature of

Role	Plan administrator
Date	2022-07-25
Name of individual signing	KEVIN V. DIEP, DMD
Valid signature	Filed with authorized/valid electronic signature

Name	Role	Address
GENTRY ANTONIA LESQ	Agent	745 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 34984

Name	Role	Address
DIEP KEVIN VDR	President	1761 SE PORT SAINT LUCIE BLVD, PORT SAINT LUCIE, FL, 34952

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G20000138754	CREATING BEAUTIFUL SMILES	ACTIVE	2020-10-27	2025-12-31	No data	1761 SE PORT SAINT LUCIE BLVD, PORT SAINT LUCIE, FL, 34952

Date of last update: 01 Feb 2025